He takes an amazing, science-fictional view of how an internetworked world is likely to upend the creaking, corrupt US health-care ‘system.’

That’s just such a hyperbole and misuse of the word “inter-networked.” Sterling is writing about alternative medicine, medical tourism and diagnostic tools and their impact on a creaky, in-efficent and soon-to-be disrupted US healthcare system. Inter-networked suggested that perhaps we are talking about a broadband induced changes to the medical system, like what is being attempted in Utah. Alternative medicine and medical tourism is not science fiction.